Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Ohio (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Erica Dunham (NPI 1760611594)

Field	Value
Entity Type	Individual
Organization	Erica Dunham
Address	514 Jackson St
City	Sandusky
State	OH
ZIP	44870
Taxonomy	Speech-Language Pathologist
NPI Enumerated	July 14, 2009

Payer Source	Total Paid
Medicare	$43.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	970	$20	$16.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	240	$60	$15.2K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	370	$20	$6.3K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	30	$170	$5.2K
92610	Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…	10	$70	$780

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Erica Dunham — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97130	14	20	1,360	$20	$20.2K
92526	11	20	230	$60	$15.9K
97129	14	20	520	$20	$8.1K
92523	10	30	30	$170	$4.9K
92610	14	20	20	$60	$1.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Erica Dunham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tressa Kemer	OH	Physical Therapist	$127.1K	$0
Kelly Martino	OH	Occupational Therapist	$121.3K	$0
Leanne Bargaheiser	OH	Speech-Language Pathologist	$99.9K	$0
Colleen Sas	OH	Speech-Language Pathologist	$96K	$0
Alyssa Coreno	OH	Speech-Language Pathologist	$87.9K	$0
Beth Kleinschmidt	OH	Speech-Language Pathologist	$86.4K	$0
Mckenna Shives	OH	Physical Therapist	$85.3K	$0
Melissa Lappa	OH	Physical Therapist	$81.3K	$0
Kelly Bolen	OH	Occupational Therapist	$75.9K	$0
Ashley Cooper	OH	Speech-Language Pathologist	$75.1K	$0

Nearby Providers

Other providers in the same ZIP code as Erica Dunham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Firelands Regional Medical Center	OH	General Acute Care Hospital	$0	$37.5M
Cambridge Home Health Care, Inc.	OH	Home Health Agency	$0	$19.4M
Firelands Regional Medical Center	OH	Multi-Specialty Clinic/Center	$0	$17.5M
Northern Ohio Medical Specialists LLC	OH	Internal Medicine Physician	$0	$16.4M
Stein Hospice Services, Inc	OH	Community Based Hospice Care Agency	$0	$11.1M
Erie County Office Of Auditor	OH	Federally Qualified Health Center (FQHC)	$0	$7.5M
Erie County Office Of Auditor	OH	Substance Use Disorder Rehabilitation Hospital Unit	$0	$7M
Family Health Services Of Erie County	OH	Federally Qualified Health Center (FQHC)	$0	$6.9M
Brian Murphy	OH	Hematology & Oncology Physician	$2.8M	$0
Sandusky City Office Of Treasurer	OH	Land Ambulance	$345.9K	$1.1M

Erica Dunham — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References